Healthcare Provider Details

I. General information

NPI: 1487532149
Provider Name (Legal Business Name): DR LI ACUPUNCTURE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BUSH ST STE 420
SAN FRANCISCO CA
94104-3907
US

IV. Provider business mailing address

100 BUSH ST STE 420
SAN FRANCISCO CA
94104-3907
US

V. Phone/Fax

Practice location:
  • Phone: 415-994-1569
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: NAN LI
Title or Position: OWNER
Credential:
Phone: 415-994-1569